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Cyclosporine

cycloSPORINE 25MG

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What is Cyclosporine?

Cyclosporine is a medication used to help prevent the body from rejecting transplanted organs, such as kidneys, livers, and hearts. It may also be used to treat certain skin conditions. Your doctor will determine the right dose for you.

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What is Cyclosporine ?

Cyclosporine is a medication used to help prevent the body from rejecting transplanted organs, such as kidneys, livers, and hearts. It may also be used to treat certain skin conditions. Your doctor will determine the right dose for you.

Source: MedlinePlus, U.S. National Library of Medicine

  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Feeling like something is in your eye
  • Mild, brief burning in your eyes
  • Red, watery, or itchy eyes
  • Ophthalmic routeIf you hurt your eye, develop an eye infection, or need to have eye surgery, talk with your doctor right away. You may need to change your medicine or stop using it.
  • Call your doctor if your symptoms do not improve or if they get worse.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
  • Tell your doctor if you are pregnant or breastfeeding, or if you have an eye infection.
What is cyclosporine used for?
Cyclosporine is used to prevent organ rejection in people who have received a kidney, liver, or heart transplant, usually together with corticosteroids. It is also approved to treat severe rheumatoid arthritis that has not responded well to methotrexate, and severe hard-to-treat plaque psoriasis in adults. Prescription eye-drop forms treat chronic dry eye disease and certain other eye conditions.
What are the most common side effects of cyclosporine?
Common side effects can include tremor, increased body hair, gum overgrowth (gingival overgrowth), high potassium, and high cholesterol. More serious risks include kidney effects, high blood pressure, liver effects, and a higher chance of infections and certain cancers. Talk to your doctor about any side effects you notice.
Is cyclosporine a chemotherapy drug or an immunosuppressant?
Cyclosporine is an immunosuppressant, specifically a calcineurin inhibitor. It works by lowering the activity of part of the immune system. It is not a chemotherapy drug, though like some other immune-lowering medicines it can raise the long-term risk of certain cancers.
Can Neoral, Gengraf, and Sandimmune be used interchangeably?
No, not without physician supervision. Neoral and Gengraf are the "modified" form of cyclosporine, while Sandimmune is the "non-modified" form, and they are absorbed differently, so they are not bioequivalent. Switching between them requires a doctor's oversight and blood-level monitoring. Always confirm your exact formulation with your prescriber and pharmacist.
What foods and drugs should you avoid while taking cyclosporine?
Avoid grapefruit and grapefruit juice, which can change how much cyclosporine is in your body, and avoid live vaccines. Cyclosporine also interacts with many prescription and over-the-counter medicines and supplements through the CYP3A4 and P-glycoprotein pathways, so give your doctor and pharmacist a complete list of everything you take before starting or changing any medication.
How much does Cyclosporine cost without insurance?
The price of Cyclosporine without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Cyclosporine?
Common side effects of Cyclosporine may include: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Feeling like something is in your eye, Mild, brief burning in your eyes, Red, watery, or itchy eyes. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Cyclosporine?
Generic versions may be available for Cyclosporine. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Cyclosporine on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Cyclosporine?
The cheapest pharmacy for Cyclosporine depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Cyclosporine near you.

Cyclosporine Coupons & Prices

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Cyclosporine Capsule — prescription drug image
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Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

Looking for a cyclosporine coupon? Cyclosporine is a widely used generic immunosuppressant, which means it is already far less expensive than brand-name versions like Neoral, Gengraf, or Sandimmune. Even so, the cash price can vary a lot from one pharmacy to the next, so it pays to compare before you fill. Enter your ZIP above to see today's cyclosporine price and a free Rx.com discount coupon accepted at more than 60,000 U.S. pharmacies.

What is cyclosporine and how does it work?

Cyclosporine is a calcineurin inhibitor immunosuppressant. It works by calming down part of the immune system so the body reacts less strongly. In transplant patients, this helps prevent the immune system from attacking (rejecting) a newly transplanted kidney, liver, or heart, and it is usually given together with corticosteroids. It is also FDA-approved to treat severe active rheumatoid arthritis that has not responded well enough to methotrexate, and severe hard-to-treat plaque psoriasis in adults who have failed other systemic therapies.

Cyclosporine comes as oral capsules and liquid for whole-body (systemic) use, and as prescription eye drops (Restasis, Cequa, Vevye, Verkazia) used for chronic dry eye disease and certain eye conditions. One important note: the "modified" oral forms (Neoral, Gengraf) and the "non-modified" form (Sandimmune) are absorbed differently and are not interchangeable. This is not medical advice; your prescriber and pharmacist will confirm exactly which formulation is right for you.

How much does cyclosporine cost without insurance?

Because cyclosporine is available as a generic, it is generally one of the lower-cost immunosuppressants, but "low cost" still depends heavily on where you fill it. Two pharmacies in the same town can charge noticeably different cash prices for the exact same generic capsule or eye drop, which is why comparing matters. If you do not have insurance, or your plan does not cover your formulation well, a free discount coupon can help you pay the cash price.

Rx.com compares cyclosporine prices across more than 60,000 pharmacies so you can find a lower price near you. Enter your ZIP above to see today's price for your specific strength and formulation, then show the coupon at the pharmacy counter. There is no membership or fee to use it.

Cyclosporine alternatives and related medications

Cyclosporine is one of several immunosuppressants a specialist may consider, depending on the condition being treated. Only your prescriber can decide what is appropriate, but medications commonly discussed alongside it include:

  • tacrolimus — another calcineurin inhibitor
  • mycophenolate and azathioprine — often used together with, or in place of, cyclosporine in transplant regimens
  • sirolimus — an mTOR inhibitor immunosuppressant
  • methotrexate — used for rheumatoid arthritis and psoriasis
  • prednisone — a corticosteroid frequently paired with cyclosporine after transplant

If you use cyclosporine eye drops for dry eye, see our Restasis page for the brand version. Whichever medication you are prescribed, you can compare its price on Rx.com by searching its name.

Cyclosporine safety and warnings

Cyclosporine carries boxed warnings and should be managed by a prescriber experienced in immunosuppressive therapy. Because it lowers immune activity, it can increase the risk of serious infections and of certain cancers, especially skin cancer and lymphoma. In psoriasis and rheumatoid arthritis patients, previous treatment with PUVA, UVB, methotrexate, other immunosuppressants, coal tar, or radiation can raise skin cancer risk further. Other important risks include dose-related kidney effects (nephrotoxicity), high blood pressure, and liver effects.

Common side effects can include tremor, increased hair growth, gum overgrowth, high potassium, and high cholesterol. Cyclosporine also interacts with many drugs through the CYP3A4 and P-glycoprotein pathways, so you should avoid grapefruit juice and live vaccines and give your doctor a full list of your medicines and supplements. This page is general information, not medical advice. Do not start, stop, or change your dose without talking to your healthcare provider.

Sources & accuracy

This Cyclosporine information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Cyclosporine on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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